Pierre Andrade Pereira de Oliveira

Raça e o uso dos serviços de saúde bucal por idosos

We analyze if race can be considered a limiting factor in the use of dental services by the elderly. This study is of an analytical nature, with the use of secondary data collected by the National Survey of Oral Health in 2003. Those examined who declared themselves as being white, brown or black in the 65 to 74-year-old age bracket were included. The sample was composed of 5,108 elderly people: 2,575 whites and 2,533 blacks. Of the whites, 3.8% stated that they had never been to the dentist, while this figure was 7.8% for the blacks. Even after the adjustment for interception for prosthetics and dental pain, the chance of elderly blacks not having used dental services at least once in their life is 0.62 OR less than for elderly whites. Of those who used the services, 21.2% of the elderly whites visited the dentist in the last year, while for elderly blacks the figure was 14.2%, in the adjusted model for interception for prosthetics and dental pain the OR was 0.60. All the relations were statistically significant (p<0,001). Race is a limiting factor in the use of dental services by the elderly and even after the adjustments the elderly blacks continue to manifest greater resistance to the use of oral health services.

Impacto da saúde bucal no cotidiano de idosos institucionalizados e não institucionalizados da cidade do Recife (PE, Brasil)

The objective of the study is to assess the influence of oral health in the daily routine of both institutionalized and non-institutionalized elders living in the city of Recife-PE, as well as to come to conclusions concerning the relevance level of oral health in both groups. In order to assess the perception of oral health, it was used the Geriatric Oral Health Assessment Index (GOHAI). The GOHAI levels, concerning the perception, were categorized in: low (≤ 50), average (51 to 60) and high (57 to 60). Oral health conditions were represented by the DMFT index (with cavity, lost and repaired teeth). It was observed that the percentage of elderly with a GOHAI not higher than 50 (low perception of oral health) was rather higher in the non-institutionalized group than in the institutionalized (92.2% x 64.9%). The average DMFT and the number of lost teeth were higher in the institutionalized group (96.01% x 87.87%). The perception of oral health was lower for more than half of the examined elderly population, but there being a meaningful difference between the two groups concerning the GOHAI, with lower levels for the non-institutionalized group. The result of the perception of oral health was compatible with the high number of decayed and lost teeth.

Avaliação do desempenho clínico de protocolos alternativos para a técnica de Tratamento Restaurador Atraumático: estudo preliminar

Objetivos: Avaliar o desempenho clinico de 5 protocolos de Tratamento Restaurador Atraumatico (ART) decorridos 2, 4 e 6 meses da restauracao. Metodos: Trata-se de um ensaio clinico longitudinal, em que 60 dentes necessitando de restauracoes simples (uma superficie) foram submetidos ao procedimento restaurador atraumatico. Estes foram divididos aleatoriamente em 5 grupos, a saber: Grupo I – restaurado por Ketac Molar Easimix (3M ESPE, Brasil); Grupo II – Vitro Fill (DFL, Brasil); Grupo III – Vitro Fill + Clorexidina a 2% (Farmacia Roval, Brasil); Grupo IV – Vitro Fill + Diamino Fluoreto de Prata (DFP) a 30% (Cariestop 30%, Biodinâmica, Brasil); Grupo V – Vitro Fill + Clorexidina a 2% + DFP a 30%. Resultados: A sobrevivencia das restauracoes, independentemente do grupo, foi de 65,0%. O percentual de sucesso foi de 91,7% para o Grupo III e de 41,7% para o Grupo IV, respectivamente o de melhor e o de pior desempenho. Conclusoes: A clorexidina parece propiciar melhor adesao do material restaurador ao dente; sendo o inverso observado para o diamino fluoreto de prata.